Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $32.36	Professional		$12.88	$15.14	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.91 / $40.74	Facility		$22.39	$22.91	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $60.26	Professional		$21.88	$23.99	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $3,467.37	Facility		$22.91	$22.91	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $23.99 / $60.26	Facility		$13.49	$23.99	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.38 / $60.26	Professional		$9.77	$17.38	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.30 / $48.98	Professional		$11.75	$12.30	$48.98